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描述性流行病学:癫痫的患病率、发病率、社会人口学因素、社会经济领域及生活质量:最新情况与系统评价

Descriptive epidemiology: prevalence, incidence, sociodemographic factors, socioeconomic domains, and quality of life of epilepsy: an update and systematic review.

作者信息

Sadr Seyed Shahabeddin, Javanbakht Javad, Javidan Abbas Norouzi, Ghaffarpour Majid, Khamse Safoura, Naghshband Zeinab

机构信息

Electrophysiology Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.

Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Arch Med Sci. 2018 Jun;14(4):717-724. doi: 10.5114/aoms.2016.60377. Epub 2016 Jun 7.

Abstract

INTRODUCTION

The purpose of this study was to investigate the contributions of quality of life (QOL), sociodemographic factors (age, sex, etc.), residential areas, general attitudes toward epilepsy, socioeconomic domains, prevalence and incidence in epileptic patients from Iran.

MATERIAL AND METHODS

A systematic literature search was conducted, including database searches in PubMed, Medline, Embase, ScienceDirect, Scopus, ISC, Health, Web of Science, and the Cochrane Library Database of relevant articles, personal files and systematic reviews to identify studies examining risk factors in epilepsy.

RESULTS

This review article shows that certain socio-demographic and socio-economic factors, geographic variation in epidemiologic patterns of epilepsy as well as clinical factors may be crucial in determining QOL in epilepsy patients and provides further evidence supporting the validity of the scale in QOL based on consideration of different target groups in different areas.

CONCLUSIONS

Prevalence of epilepsy appears to be correlated with socioeconomic status in the lower socioeconomic groups. Also demographic characteristics, socio-economic factors and clinical presentation are linked to different QOL of these patients among nations. The educational program has a beneficial effect on self-management behaviors in patients with epilepsy. More work needs to be done to improve tools that help to evaluate efficiently the health-related quality of life of people with epilepsy.

摘要

引言

本研究的目的是调查生活质量(QOL)、社会人口学因素(年龄、性别等)、居住地区、对癫痫的总体态度、社会经济领域、伊朗癫痫患者的患病率和发病率的贡献。

材料与方法

进行了系统的文献检索,包括在PubMed、Medline、Embase、ScienceDirect、Scopus、ISC、Health、Web of Science以及Cochrane图书馆数据库中搜索相关文章、个人档案和系统评价,以识别研究癫痫危险因素的研究。

结果

这篇综述文章表明,某些社会人口学和社会经济因素、癫痫流行病学模式的地理差异以及临床因素在确定癫痫患者的生活质量方面可能至关重要,并基于对不同地区不同目标群体的考虑,为该量表在生活质量方面的有效性提供了进一步证据。

结论

癫痫患病率似乎与社会经济地位较低群体的社会经济状况相关。此外,人口特征、社会经济因素和临床表现与这些患者在不同国家的不同生活质量相关。教育项目对癫痫患者的自我管理行为有有益影响。需要做更多工作来改进有助于有效评估癫痫患者健康相关生活质量的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3d5/6040113/943c74136a66/AMS-14-27701-g001.jpg

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